Individual
MRS. DANIELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 865-1558
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 865-1558
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
236133
NC
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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